By seeing urologists only, he is likely to get only one side of the story, i.e. surgery vs. surgery. There are some of us on this forum who believe that radiation is an excellent choice. In any case, this is a BIG DEAL and the side effects can be life changing.
IMHO - Almost every man here will believe that his 'procedure' went well. Few will think differently, because they will NEVER know what the alternative would have produced.
Each has made a decision and has faith that what has happened has been fate.
"Procedure" means anything from doing nothing, thru Radiation and Surgery to whatever.
For each man , it is THEIR journey with CANCER.
The first thing is to ask - what am I doing ? = I seek to live longer and not have this cancer affect my life any more than necessary !So - take each choice and try to understand what the CONSEQUENCES are.
If you choose to do nothing and the cancer IS more serious that reported and IF it escapes the Prostate, then you are now in real survival mode using salvage techniques. But - there are those who believe that most men will not be adversely affected by the cancer anyway. You can only trus the pathology science to indicate just how serious YOUR cancer really is !
If you choose Radiation then you must understand just what Radiation does. It COOKS the cancer, along with ALL other surrounding tissues. Radiation is NOT selective.. . .. It Kills the Cancer and the Good tissue and continues to do so for long after the machine is turned off. Dead tissue cannot work the way it did when alive. ALL these tissues will continue to die over the next three years.
The results as reported by many, would suggest that the immediate result is GREAT with the anticipated side-effects, and then it's Down from there as ED and Incontinence reportedly increasing as the cooking and scaring proceeds. MOST importantly, because the tissue is now largely SCAR-Tissue, cooked almost like a chicken, it is near impossible to THEN select SURGERY to correct any problems, because the surgeon cannot sew cooked meat !
Additionally, you must understand that the radiologist leaves the room during the procedure because RADIATION
causes cancer ! ... .. . Sometime, more serious cancers, years later, assuming that it
KILLS (???) the Prostate Cancer that it was first treating.
Radiation at age 40 would have to be desperation stuff, because of the possible later issues... . . Radiation at 70 could be considered 'acceptable risk' given the fact that you are not 'expected' to live much longer anyway. ( Hey - Speak for yourself !
- You will likely NEVER know, because your true GOAL is to prevent a return of cancer METS'.
If you have Robot, you should be up and about much faster than open, but does (say) two weeks of possible bed-rest needed for open-RP affect your life that much ?
For me, the answer is NO.. I was working at two weeks. For all those I personally know, the answer is NO.
There in NO simple answer ! .. . . May you find the right choice first time !
PS - I suspect that MY Surgeon, who now strongly defends open-RP, is reportedly about to go to ROBOT, and I suspect that he will defend that move on the basis that it's business and SOME men will insist on ROBOT, and with his experience, he should be able to provide adequate quality, given what he truely believes !
So - IF a surgeon has the CHOICE of either open or ROBOT, then surely he can make the choice as to which could be better for YOU.
He will make the money anyway, whichever he uses, and will pay for the unused machine in the courner, if he uses open-Cut ..
Please - do have a read of:
Pages 70 to 75
Post Edited (BuiDoi) : 12/13/2010 2:40:14 PM (GMT-7)